Statutory Forms · Central / All India

Form XX: Register for leave with wages

Form XX under the final Occupational Safety, Health and Working Conditions (Central) Rules, 2026: register for leave with wages. Includes the original Gazette extract, user guidance and controlling rule.

Jurisdiction
Central / All India
Issued on
08 May 2026
Status
Current
Reference
Official source

State-wise library

Check another state or UT

Move directly to the published statutory forms records for a jurisdiction.

At a glance

Notification details

AuthorityMinistry of Labour and Employment, Government of India
Issued on08 May 2026
StatusCurrent

Published reference

Notification and guidance

Form XX: Register for leave with wages

This is the prescribed format in the final Occupational Safety, Health and Working Conditions (Central) Rules, 2026, linked to rule 76. Use the original Gazette extract below to see the complete fields and declarations.

Who uses this form?

Employer / leave records custodian. The form’s presence in the Library does not itself create an obligation or establish that its chapter applies to an establishment.

What to prepare

Track qualifying service, leave earned, leave taken and the balance in the prescribed employee record. Do not substitute a state Shops Act leave balance for a different statutory scheme without checking applicability.

Choose the correct legal route

Confirm the applicable chapter, appropriate-government jurisdiction and the current procedure before filing or issuing a document. Distinguish an application, an employer-maintained register and an authority-issued notice or certificate. A form used in one process is not interchangeable with a similarly numbered form under another Code or state law.

Download and retain the source

The download preserves physical PDF pages 305–305 of the official Gazette without editing the page contents. Adjacent forms can share a source page. This is a reference PDF, not an editable template or proof of a successful portal submission. Keep the filed acknowledgement, issued order or maintained record, as appropriate, with the evidence supporting it.

Read the full official Gazette and operative rule.

Official document

Check the controlling notification.

Official source · Ministry of Labour and Employment, Government of India

Open source document ↗

Source review and connected references

Document statusFinal
Applicable Act / CodeOccupational Safety, Health and Working Conditions Code, 2020
Source reviewed2026-10-22
Section / ruleRules 76
Source PDF pages305-305
Form numberForm XX

Final Gazette source and referenced form pages reviewed on 22 October 2026. Central-rule jurisdiction and chapter-specific coverage must be checked.

Form PDF · original Gazette pages ↗

Continue researching

↑